Laserfiche WebLink
, : <br /> �813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ' Building Depa�trnent <br /> , , . • �,L��. /S�r�r,.f ��3 � Z� Z.. 7 �Z- <br /> Date Recelved 2 J �"' j�1 Pi�ane Contact for Permittin �1 ✓� �� � - / �� � <br /> Owrser's Name r �5� 1�9-� �I�CCr�� owner�hane�tumber ~1�`"�t�c�`"��'� '�. <br /> Owner's Address G�7 �� � �/�,' Owner Phone Number �� � <br /> � ����Y����S � ��`�– � Owner Phane Number � � <br /> C <br /> � <br /> JOB ADDRESS e� p , (��� s T. ,� et'!�f�Y l� N!�4--L � �L LOT# [� <br /> SUBDIVISION �u � PARCEL ID# <br /> � (OSTAINED PROM PROPERTY 7AX NQSICE) <br /> vVORK PROPOSED �NEw coasrR D/AL7 SIGN � (� DEMOUSH <br /> e INSTALL � IR <br /> PROPOSED llSE Q SFR Q COMM �� OTNER �'' <br /> TYPE OF CONSTRUC7'ION . Q BLOCK , � FRAME � STEEL Q <br /> t <br /> DESCRIPTION OF WORK � C t��G /�.,1 �Cr4^� s�� �T�� ��('���1 � � ����-� <br /> BUILDING SIZE �r��,17� �� SQ FOOTAGE / { �^�- HEIGHT 0 ��v� <br /> (�'� -�,.,.�....�. <br /> - � I '� � , VALUATION QF T07AL CONSTRUCTION��.� 2 ��i�� <br /> BUtLDING $ <br /> L..`r�7'_ �1 1 , <br /> ['�ELECTRICAI $ �.L� AMP SERVICE jO L> Q PROGRESS ENERGY Q W.R.E.C. <br /> _., J ��'�s7�.�1�- ����� <br /> [�P�uMs�r�� $ 5��/'= � tr���-��� 2 <br /> l �,�`' � <br /> QMECHANICAI $ �.�G � VALUATfON OF MECNANICAt.thtSTAtlAT14tV �� ���y� <br /> QGAS Q RC}OF1Nt'a Q SPECIAI.TY � OTHER � f�'��j� �� /'"' <br /> FINISHED F1.00R ELEVATIqNS FI. D ZONE AFjEA C]YES NO "� ,�",,,�,,.�r f! CA"! S� <br /> .�t� j�-N � �t�f���� � �-0 � �j"` �1 <br /> �-�r��� � ,� ,� <br /> SG(ATURE /������ � v�J �SuP� R��sp� Y/ N n��ECURREA 1,Y/N. -- <br /> Address �t � � ��" Z 7 �z Ctcense# �� � <br /> ELECTRICtAN �� COAh1PANY ' C���V�-- . <br /> SIGNA7URE REGISTERED Y N FEE CURRE� Y/N <br /> Address 1 License# �- � ' <br /> PLUMBER ��� COMRANY ��v�+""'" <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address .License# � � <br /> MECHANtCAt. c (�� � COMpANY . V� �='/�— <br /> SIGNATURE V� REGI3TERE0 Y�./ N FEE CURRE� Y/=N' <br /> Address � License# � � <br /> OTHER COMPANY <br /> SIGNATURE rtEGlSTettE� Y/ N . FEE CURRE� Y/N <br /> Address ' Cicense# � � <br /> �REStQENTiAL' Attacti(2}pt6f P.larts;{2}sets�afsBui2dEng'Plans;{1)set ofEnergy�Forms;,R-O-W Penriit iiir`new.construction, <br /> ; Minimum;ten;,(1,0),working;days after subriilttal date. Required onsite,CansttuctlomPlans;°Stormwate��Plans w/Silt Fence installed, <br /> Sanitary Facil4ties:&�1 ndumpster Site Work;�Perrnit for suiidivistons!large proJeats �- -- <br /> COMMERC�AL Attach(3)cbmptete sets'af Suitdirig Plans pliis a L.ife Safety Paga;(1}set of Energy Fotms.R-O-W Pettnit for new canstruotion. <br /> Mlnimum ten(10)working days'after submlttal date. Requlred onsite,Canstructian Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Factlitles&1 dumpstec.Site Work Permit for sil nev�projecfs.Ali cx�mmercial requlrements must meet compHance <br /> S(GN PERMIT Attacff(2)sefs af Engineered�Flans.,=- ;- <br /> .««.pROPERTY SURVEY required for all NEW canstrucdan. <br /> Directtons: <br /> F(0 out appUcatlon completely. � <br /> Owner&Contraotor stgrt back of appltcatton,r�o#arized <br /> if over�250d,a Notice of Commencement is required. (A!C upgrades over$7500) , <br /> �:. <br /> " Agent{for ttie oontractot)or Powe�of Attomey(for the owner)would bs someone with notarized letter from owner autharizing same <br /> OVER THE COUNTER.PERMITTtNG (�ront of AppNcaUon Onty) �' ' ' 3.- ` -� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) -•• ~ ' ' � - <br /> ,�t; � - - <br /> Driveways-Not over Counter if on publia roadways..needs ROW ' ' <br />